Active NPI
Matthew W Elchin, PA-C
- Physician Assistant
- Johnstown, PA
National Provider Identifier
1700854221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA051064
- Practice address
- 1086 Franklin St
Johnstown, PA 15905-4305 - Phone
- (814) 539-5987
- Fax
- (814) 535-4176
- NPI assigned
- Mar 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA051064 | PA | Primary |
Addresses
Primary practice location
1086 Franklin St
Johnstown, PA 15905-4305
Mailing address
239 Main St
Suite 400
Johnstown, PA 15901-1640
Phone (814) 539-5987
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1956773 | Other | PA | HIGHMARK BC BS |
| 07822620 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1086 Franklin St
Johnstown, PA 15905-4305
Phone (814) 536-7226
Hospital & facility affiliations
- Conemaugh Memorial Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastrointestinal Consultants Inc | Current | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients |
Locations
350 Southmont Blvd
Johnstown, PA 15905
Phone (814) 535-2511
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Johnstown, PA
- NPI 1730107590
-
- Specialist
- Johnstown, PA
- NPI 1720170319
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Johnstown, PA
- NPI 1801897038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326067200000",
"number": "1700854221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "239 MAIN ST",
"address_2": "SUITE 400",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159011640",
"telephone_number": "814-539-5987",
"fax_number": "814-535-4176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1086 FRANKLIN ST",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159054305",
"telephone_number": "814-539-5987",
"fax_number": "814-535-4176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELCHIN",
"first_name": "MATTHEW",
"middle_name": "W",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-10",
"last_updated": "2012-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA051064",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BC BS",
"identifier": "1956773",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07822620",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.